Auto chess in the operating room
Chapter 388 Heart Transplantation Completely Successful
Chapter 388 Heart Transplantation Completely Successful
Afterwards, Tang Lou followed suit and completed the removal of his right lung.
"It's pleasing to the eye."
In the observation room, Professor Liu said a rare sigh. Hearing Professor Liu's praise, the members of the medical team of the Second Hospital of Harbin Medical University were very surprised. After all, Professor Liu is famous in the hospital for his eyes above the top. He is even more honest with the doctors under him, and he has never seen a doctor who can get such praise from him.
After all, Professor Liu is already a top player in the field of heart transplant surgery, and he has not seen a better operation than him for many years.
The removal of the left and right lungs was completed, and then the trachea was exposed from the right side of the aorta and the trachea was freed.
"Everyone carefully observe Dr. Tang's operation to see how he frees the trachea. We must pay attention to preserving the tissues around the trachea to ensure the blood supply to the trachea."
In the operating room, Tang Lou completed the dissociation very quickly, and calmly issued the last order of the second stage:
"Tracheotomy with a scalpel and removal of the recipient's heart and lungs"
Hearing Tang Lou's words, Director Dong at the side also heaved a sigh of relief, very satisfied with Tang Lou's operation.
The toolman's chief surgeon yawned, and continued to shout slogans: "Doctor Tang, the next step is the third stage, which is the final step, donor cardiopulmonary resection and combined transplantation!"
Tang Lou nodded, and immediately switched to the top of the donor's tracheal carina, the silver scalpel cut sharply.
"Excellent. If I were to cut off the trachea, I would at least have to trim it a little bit before entering the next step. Doctor Tang, this cut will be clean. This ability to control is too strong."
A chief physician has been completely convinced by Tang Lou, and his tone is full of admiration.
"Yeah, it's really an honor for us to be able to witness such a heart transplant. Later, when Professor Liu invites Dr. Tang to the medical team, I must ask him in person how he did such a superb job. skill based."
In the observation room, the members of the medical team all agreed to Tang Lou and then joined to assist Professor Liu in the operation.
Before, everyone was still struggling with who would help, but at this moment, they no longer think about it!
Director Chen Minjie looked a little downcast. It might have been the most important moment in his medical career, but he was pushed away by his own hesitation.
If before, I recommended myself earlier and decided to help me, at this moment, everyone would at most appreciate Dr. Tang, and would not think of asking him to replace me.
"Take part of the endotracheal secretions for bacterial culture. The second assistant sucks up the endotracheal secretions"
Tang Lou continued to give instructions without haste, clear and precise!
"Okay, Doctor Tang."
As usual, this kind of order should be issued by the chief surgeon. Even if Xiehe's second assistant receives the order from Tang Lou, he will confirm with Director Dong again. But at this moment, Director Dong himself has become a mascot. In addition to calling 666, No constructive comments.
Therefore, the second assistant obediently followed Tang Lou's instructions.
"The chief surgeon assisted me in placing the donor's right lung into the right chest cavity through the recipient's right atrium and phrenic nerve, and the left lung into the left chest cavity through the left phrenic nerve."
Director Dong let out a sigh, and immediately cooperated with Tang Lou's operation.
"4-0 Polypropylene Wire Surgical Scissors."
Tang Lou trimmed the trachea, and began to suture the tracheal membrane continuously.
"This hand stitching is too powerful."
"Yes, it is obvious that the cut trachea of the donor and the recipient have different calibers. It is very difficult to suture on the membrane."
"Smart, you see, Dr. Tang is constantly fine-tuning the stitch distance and margin when suturing the membranous part, and even changed to "8" suture at the cartilage part. After suturing this section, he started continuous suturing again. pretty!"
After 3 minutes, the anastomosis is complete!
"This speed is really fast!"
"Now I really want to take off Dr. Tang's surgical gown and mask, and see who the chief physician is. The basic skills are too solid."
"Second assistant, ventilate the patient's lungs"
Tang Lou continued to give orders, and at this point, it has basically entered the finishing stage.
Director Dong also watched Tang Lou's operation expectantly. Tang Lou completely followed the standard heart transplant method, cutting the right atrium of the donor heart upwards from the inferior vena cava, and connecting the right atrium of the donor heart and the recipient's heart with a 4-0 polypropylene thread. The atrial opening was sutured continuously, and finally the aorta was anastomosed continuously with 4-0 polypropylene suture.
Speaking of it, it was just suturing, but due to the particularity and fragility of the parts during the period, the requirements for the control of strength and accuracy were very strict.
Of course, in addition to standards and precision, Tang Lou's speed is unparalleled, which further reduces postoperative complications.
"Open the superior and inferior vena cava, exhaust the gas in the heart, and open the ascending aorta!"
Ten minutes later, Tang Lou issued an exciting order.
"Placing pacing leads."
"The heart rate is maintained at around 110 beats/min!"
"Complete hemostasis to stop extracorporeal circulation"
When Tang Lou issued the last order, the whole difficult heart transplant operation was declared a success!
"Amazing!"
In the observation room, the expert team from the Second Hospital of Harbin Medical University also applauded. The final time of the whole operation stayed at three hours and 58 minutes!
Professor Liu was also very excited, restrained his impulse, and said into the microphone: "Director Dong, Dr. Tang, congratulations on successfully completing this difficult heart transplant operation. My colleagues and I have benefited a lot. "
"Originally, Director Dong invited me to guide the operation, but this one made me feel ashamed. Doctor Tang's basic skills are solid, which I have never seen in my life."
"Professor Liu is polite."
In the operating room, after the operation was completed, Director Dong was completely relaxed and even more excited.
Too long face!
"Director Dong, I have a heartfelt request. After Dr. Tang changes your clothes with you, can you have a remote communication with us. I want to hear Dr. Tang's experience on this operation, so that we can learn from it. Some tricks."
Professor Liu made a very sincere request, and the members of the expert team behind him were also very curious about who the talented doctor Tang was under the surgical gown.
"Doctor Tang, would you like to take some time to share this operation with the doctors from the Second Hospital of Harbin Medical University?"
If before the operation, Director Dong would have directly agreed to come down for Tang Lou. After all, no matter in terms of qualifications or age, he is much higher than Tang Lou. Tang Lou is a younger brother in front of him.
However, after this operation, he has completely regarded Tang Lou as a doctor of the same level, and dared not make decisions for Tang Lou without authorization, for fear that he would be annoyed. After all, the level of a doctor and his temper are positively related to a certain extent.
"can."
Of course Tang Lou had no problem and agreed.
"Okay, okay, that's really an honor. Doctor Tang, Director Dong, you go to the changing room first, and we'll connect later."
Ten minutes later, Tang Lou and Director Dong logged into the remote system again.
Seeing Tang Lou's youthful appearance, the doctors at the Second Hospital of Harbin Medical University were all stunned.
"Are you Dr. Tang who performed the operation just now?"
(End of this chapter)
Afterwards, Tang Lou followed suit and completed the removal of his right lung.
"It's pleasing to the eye."
In the observation room, Professor Liu said a rare sigh. Hearing Professor Liu's praise, the members of the medical team of the Second Hospital of Harbin Medical University were very surprised. After all, Professor Liu is famous in the hospital for his eyes above the top. He is even more honest with the doctors under him, and he has never seen a doctor who can get such praise from him.
After all, Professor Liu is already a top player in the field of heart transplant surgery, and he has not seen a better operation than him for many years.
The removal of the left and right lungs was completed, and then the trachea was exposed from the right side of the aorta and the trachea was freed.
"Everyone carefully observe Dr. Tang's operation to see how he frees the trachea. We must pay attention to preserving the tissues around the trachea to ensure the blood supply to the trachea."
In the operating room, Tang Lou completed the dissociation very quickly, and calmly issued the last order of the second stage:
"Tracheotomy with a scalpel and removal of the recipient's heart and lungs"
Hearing Tang Lou's words, Director Dong at the side also heaved a sigh of relief, very satisfied with Tang Lou's operation.
The toolman's chief surgeon yawned, and continued to shout slogans: "Doctor Tang, the next step is the third stage, which is the final step, donor cardiopulmonary resection and combined transplantation!"
Tang Lou nodded, and immediately switched to the top of the donor's tracheal carina, the silver scalpel cut sharply.
"Excellent. If I were to cut off the trachea, I would at least have to trim it a little bit before entering the next step. Doctor Tang, this cut will be clean. This ability to control is too strong."
A chief physician has been completely convinced by Tang Lou, and his tone is full of admiration.
"Yeah, it's really an honor for us to be able to witness such a heart transplant. Later, when Professor Liu invites Dr. Tang to the medical team, I must ask him in person how he did such a superb job. skill based."
In the observation room, the members of the medical team all agreed to Tang Lou and then joined to assist Professor Liu in the operation.
Before, everyone was still struggling with who would help, but at this moment, they no longer think about it!
Director Chen Minjie looked a little downcast. It might have been the most important moment in his medical career, but he was pushed away by his own hesitation.
If before, I recommended myself earlier and decided to help me, at this moment, everyone would at most appreciate Dr. Tang, and would not think of asking him to replace me.
"Take part of the endotracheal secretions for bacterial culture. The second assistant sucks up the endotracheal secretions"
Tang Lou continued to give instructions without haste, clear and precise!
"Okay, Doctor Tang."
As usual, this kind of order should be issued by the chief surgeon. Even if Xiehe's second assistant receives the order from Tang Lou, he will confirm with Director Dong again. But at this moment, Director Dong himself has become a mascot. In addition to calling 666, No constructive comments.
Therefore, the second assistant obediently followed Tang Lou's instructions.
"The chief surgeon assisted me in placing the donor's right lung into the right chest cavity through the recipient's right atrium and phrenic nerve, and the left lung into the left chest cavity through the left phrenic nerve."
Director Dong let out a sigh, and immediately cooperated with Tang Lou's operation.
"4-0 Polypropylene Wire Surgical Scissors."
Tang Lou trimmed the trachea, and began to suture the tracheal membrane continuously.
"This hand stitching is too powerful."
"Yes, it is obvious that the cut trachea of the donor and the recipient have different calibers. It is very difficult to suture on the membrane."
"Smart, you see, Dr. Tang is constantly fine-tuning the stitch distance and margin when suturing the membranous part, and even changed to "8" suture at the cartilage part. After suturing this section, he started continuous suturing again. pretty!"
After 3 minutes, the anastomosis is complete!
"This speed is really fast!"
"Now I really want to take off Dr. Tang's surgical gown and mask, and see who the chief physician is. The basic skills are too solid."
"Second assistant, ventilate the patient's lungs"
Tang Lou continued to give orders, and at this point, it has basically entered the finishing stage.
Director Dong also watched Tang Lou's operation expectantly. Tang Lou completely followed the standard heart transplant method, cutting the right atrium of the donor heart upwards from the inferior vena cava, and connecting the right atrium of the donor heart and the recipient's heart with a 4-0 polypropylene thread. The atrial opening was sutured continuously, and finally the aorta was anastomosed continuously with 4-0 polypropylene suture.
Speaking of it, it was just suturing, but due to the particularity and fragility of the parts during the period, the requirements for the control of strength and accuracy were very strict.
Of course, in addition to standards and precision, Tang Lou's speed is unparalleled, which further reduces postoperative complications.
"Open the superior and inferior vena cava, exhaust the gas in the heart, and open the ascending aorta!"
Ten minutes later, Tang Lou issued an exciting order.
"Placing pacing leads."
"The heart rate is maintained at around 110 beats/min!"
"Complete hemostasis to stop extracorporeal circulation"
When Tang Lou issued the last order, the whole difficult heart transplant operation was declared a success!
"Amazing!"
In the observation room, the expert team from the Second Hospital of Harbin Medical University also applauded. The final time of the whole operation stayed at three hours and 58 minutes!
Professor Liu was also very excited, restrained his impulse, and said into the microphone: "Director Dong, Dr. Tang, congratulations on successfully completing this difficult heart transplant operation. My colleagues and I have benefited a lot. "
"Originally, Director Dong invited me to guide the operation, but this one made me feel ashamed. Doctor Tang's basic skills are solid, which I have never seen in my life."
"Professor Liu is polite."
In the operating room, after the operation was completed, Director Dong was completely relaxed and even more excited.
Too long face!
"Director Dong, I have a heartfelt request. After Dr. Tang changes your clothes with you, can you have a remote communication with us. I want to hear Dr. Tang's experience on this operation, so that we can learn from it. Some tricks."
Professor Liu made a very sincere request, and the members of the expert team behind him were also very curious about who the talented doctor Tang was under the surgical gown.
"Doctor Tang, would you like to take some time to share this operation with the doctors from the Second Hospital of Harbin Medical University?"
If before the operation, Director Dong would have directly agreed to come down for Tang Lou. After all, no matter in terms of qualifications or age, he is much higher than Tang Lou. Tang Lou is a younger brother in front of him.
However, after this operation, he has completely regarded Tang Lou as a doctor of the same level, and dared not make decisions for Tang Lou without authorization, for fear that he would be annoyed. After all, the level of a doctor and his temper are positively related to a certain extent.
"can."
Of course Tang Lou had no problem and agreed.
"Okay, okay, that's really an honor. Doctor Tang, Director Dong, you go to the changing room first, and we'll connect later."
Ten minutes later, Tang Lou and Director Dong logged into the remote system again.
Seeing Tang Lou's youthful appearance, the doctors at the Second Hospital of Harbin Medical University were all stunned.
"Are you Dr. Tang who performed the operation just now?"
(End of this chapter)
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